KENNY SHADE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041230239

License Status

INACTIVE

Business

First Name

KENNY

Last Name

SHADE

Business Name

KENNY SHADE

Original Issue Date

09/09/1985

Effective Date

09/09/1985

Expiration Date

05/31/1990

City

WASHINGTON

State

Zip

20036

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

09/27/2006